Lord Byron, defender of textile workers and primary care physicians

share genomic test

Or why not to bring your entire genome sequence print-out to a doctor visit

Before there was Justin Bieber, or for those of us in Asia, any one the boys of a K-pop band, there was Lord Byron. To many of the women of the early 1800’s, as well as more than a few men, he was the epitome of romance. His noble birth, alluring poetry, spendthrift ways, his many loves, his foreign travels and adventures, all created- abetted by his active promotion- an image of exotic allure that captured the time. Even now if one’s love presents herself in a black dress, many points will be scored by repeating the opening lines to one of his most remembered poems,

She walks in beauty, like the night
Of cloudless climes and starry skies…

His reach extends even into today’s world of genomics, albeit tangentially and if one is willing to stretch a point. I count three connections:

The first of these links occurred during a rainy visit to the vacation home of the English Romantic poet Percy Shelley in Switzerland, where he and the Shelley’s competed in storytelling. It was on these inclement days, cooped up with Byron and friends, that Mary Shelley began the iconic novel, Frankenstein. We often call upon her novel today when comparing our modern use of genetics for recrafting life to Dr. Frankenstein’s efforts (though his were more needle, thread and lightening based), and in deriving the term ‘Frankenfood’ to describe genetically modified food.

Secondly, Byron’s only legitimate daughter, Ada Lovelace (née Bryon), wrote the first extant computer program. This program was meant to run on Charles Babbage’s mechanical computer, the “analytical engine”. Unfortunately Charles’ analytical engine was never built, and Ada’s program has yet to be run. Nonetheless she gets the credit for being the first computer programmer, and one of the key differences between genomics and its forerunner, genetics, is the necessity of computational power. Genetics deals with just a few genes at a time, genomics deals with all of them. Though I wouldn’t want to have to do genetic linkage analysis on Babbage’s contraption, our modern computers can trace a direct lineage back to his device, and to Ada Lovelace’s program.

And finally, Lord Byron defended the Luddites. This was a textile worker’s movement at the rise of the 19th century who claimed to follow in the footsteps of a Ned Ludd, and who smashed the new powered looms and mills that threatened their livelihoods. At that time, as well as now, to say that someone was a “Luddite” was a pejorative, impugning them with an unthinking rejection of technology and progress. However Byron championed them, and his debut speech before the House of Lords was to denounce a new act which would allow the death penalty for those who damaged a machine. His defense of the Luddites was that their frustration at being abandoned in the face of technological advances was worthy more of compassion than of capital punishment. He also wrote “Song For The Luddites “, which included the verse:

When the web that we weave is complete,
And the shuttle exchanged for the sword,
We will fling the winding sheet
O’er the despot at our feet,
And dye it deep in the gore he has poured.

Pretty strong stuff, though he told a friend that, “I have written it principally to shock your neighbor, who is all clergy and loyalty.” People like Byron tend to think of themselves as too clever by half.

Akin to Byron’s defense of the textile workers, let’s not dismiss an Annals of Internal Medicine editorial as being written by mere Luddites.

It is this defense for the Luddites that lets us connect Byron with genomics: inspired by Byron, I’m not going to dismiss an editorial in this week’s Annals of Internal Medicine as being written by mere Luddites.

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The Genome as a Commons

hunting woman 2

The right to graze your pigs in the forest, collect firewood, and to be genotyped

Magna Carta may get all the attention, but its poor cousin, the Charter of the Forest, deserves at least equal consideration. For one, it was the writing of the Charter of the Forest, two years after Magna Carta in 1215, that put the ‘Magna’ in Magna Carta. What we now call Magna Carta had been known at the time of its issuance as “The Articles of the Barons”, which sounds more like a polite euphemism in the castle laundry room for the barons’ undergarments  than something to keep in the history books. After the writing of the Charter of the Forests, so as to distinguish the two charters, Magna Carta received the title that helped ensured its Olympic enshrinement.

Secondly, the Charter of the Forest has a much more exciting vocabulary. The language of Magna Carta, dealing most with property and inheritance issues, was well within the staid grasp of the Latin in which it was written. But the Charter of the Forest deals with more down to earth issues, and it’s written in a delightful Anglo-Norman bastardization of Latin. One can almost imagine the clerks scratching their tonsured scalps, trying to figure out how to translate old English words like ‘swanimote’ (‘swain’+’moot’, a court held to decide on offences related to the forest), which they rendered in Latin as ‘suanimotum’. Or ‘pannage’ (the right to let one’s pigs browse in the forest), which possibly came to English via the French ‘pasnage’ via the Latin ‘pastionaticum’ (which also means letting pigs graze on acorns) but was rendered back into Latin in the Charter as ‘pannagium’. Or cheminage, which is the right to pass through a forest, and in its usage in the Charter, specifically with the intent of collecting wood , comes via the French ‘chemin’ (road), which is from the Latin caminus, but is rendered back into Latin in the Charter as chiminagium. I was brought by the lee in many a French test in high school via similar guesswork at what I hoped might be French, but possibly Madam Kessler was more exacting than whoever checked the work of King Henry’s clerks.

Finally, while Magna Carta mostly addressed grievances of the barons, the Charter of the Forest addressed those of the common person. Barons may outrank us commoners, but we decidedly trump them on sheer numbers. Take that word ‘cheminage’; the Charter says that a forester “may exact chiminage … only from those who come from outside his bailiwick … to buy wood, timber, bark, or charcoal and take them elsewhere to sell…. Those, on the other hand, who carry wood, bark, or charcoal on their backs for sale, although they get their living by it, shall not in future pay chiminage.” In other words, a forester cannot charge someone who comes into their forest to take out firewood, unless they don’t live in the neighborhood and can afford a donkey and a cart. Recalling when I lived in northern China with its cold winters (now we live on China’s more sultry southern shores), I can attest that come autumn an entire village’s economy may seem to be entirely based on gathering and accumulating large piles of sticks. Those carrying the bundles on their backs did not appear to be among the baronetcy.

Denying the existence of a commons transforms something from being a right of the community into a resource to be monetized.

In fact, the Charter of the Forest was one of the first legal documents to lay out our rights to the commons, that is, those parts of our community or neighborhood that we use not for commerce but to simply provide for ourselves. Collecting sticks in the woods, or letting your pigs graze on acorns, were aspects of the commons protected by the Charter. This was important from both an economic perspective as well as a societal one. Denying the existence of a commons transforms something from being a right of the community into a resource to be monetized by the few. Unfortunately we have proven to be better at the latter than protecting the former. However without the existence of commons, people are forced to change from being, well, just ‘people’, into ‘consumers’.

The advent of the science of genomics raises a new item that could be added to these charters. Is our genome a commons, or a resource? May we employ our genome on our own terms, or only on the terms set by companies, pharmacies, or the government? In terms of our genetics, are we destined for autonomy or dependence?

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A Right To Stay Human?

being human

[insert ‘CRISPR’ pun here]

According to some accounts, many of our problems can be traced to this moment:

“By the seventh day God had finished the work he had been doing; so on the seventh day he rested from all his work.”

Many would agree that the world is basically good, as discussed on this site here, or at least better than many alternatives. However many would not argue against it needing a little fixing up. It’s run down a bit, and somethings probably need a complete rethink altogether. Mass global extinctions, suffering, and the platypus immediately come to mind, for example. As Yossarian said to Lieutenant Scheisskopf’s wife,

“And don’t tell me God works in mysterious ways…There’s nothing mysterious about it, He’s not working at all. He’s playing. Or else He’s forgotten all about us… What in the world was running through that warped, evil, scatological mind of His when He robbed old people of the power to control their bowel movements? Why in the world did He ever create pain?” 

Maybe Yossarian expresses this more strongly than necessary, but then he was under a lot of pressure, there being a war on and everyone trying to kill him. He knew they were trying to kill him because they kept shooting at him every time he flew a bombing mission.  His point is valid, however, many believe humankind could do with a little editing. For that matter, frogs, honeybees, the African elephant, and any other species on the verge of extinction could probably do with a helping hand.

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